St. John'S Mercy Kids Gi, Llc

LBN: Mercy Clinic Kids Gi, Llc
St. John'S Mercy Kids Gi, Llc is an health care organization with primary practice located at 621 S New Ballas Rd Suite 140-A, Saint Louis MO 63141-8232. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as the primary health care specialty. Mercy Clinic Kids Gi, Llc can be contacted via phone (314) 996-0006, or through Hubert, John W. via phone (314) 215-1700.

Contact Information

Primary practice address
621 S New Ballas Rd Suite 140-A Saint Louis MO 63141-8232
Phone: (314) 996-0006
Fax: (314) 996-0007
Website:
Map and Directions
Authorized official contact:
Name: Hubert, John W. Doctor of Medicine (MD)
Phone: (314) 215-1700

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X

Profile Details

NPI number 1033352885
LBN Legal business name Mercy Clinic Kids Gi, Llc
DBA Doing business as St. John'S Mercy Kids Gi, Llc
Authorized official Hubert, John W. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 9th, 2009
Last updated Nov 19th, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033352885 NPPES
Missouri MEDICAID 509292504

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